| NPI | 1306265921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASEEMA SHAFI Chief Operating Officer 202-745-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-04-16 |